| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| V2020 |
Frames, purchases |
1,635 |
1,445 |
$22K |
| V2100 |
Sphere, single vision, plano to plus or minus 4.00, per lens |
811 |
783 |
$19K |
| 92004 |
Ophthalmological services: medical examination and evaluation, comprehensive, new patient |
349 |
347 |
$16K |
| 92014 |
Ophthalmological services: medical examination and evaluation, comprehensive, established patient |
335 |
335 |
$14K |
| V2200 |
Sphere, bifocal, plano to plus or minus 4.00d, per lens |
212 |
212 |
$8K |
| V2784 |
Lens, polycarbonate or equal, any index, per lens |
662 |
549 |
$6K |
| 92015 |
Determination of refractive state |
800 |
798 |
$5K |
| V2103 |
Spherocylinder, single vision, plano to plus or minus 4.00d sphere, .12 to 2.00d cylinder, per lens |
251 |
243 |
$4K |
| 92340 |
Fitting of spectacles, except for aphakia; monofocal |
138 |
138 |
$3K |
| V2107 |
Spherocylinder, single vision, plus or minus 4.25 to plus or minus 7.00 sphere, .12 to 2.00d cylinder, per lens |
34 |
34 |
$660.00 |
| 1036F |
|
296 |
296 |
$0.00 |
| G9903 |
Patient screened for tobacco use and identified as a tobacco non-user |
297 |
297 |
$0.00 |
| G9902 |
Patient screened for tobacco use and identified as a tobacco user |
52 |
52 |
$0.00 |
| G8428 |
Current list of medications not documented as obtained, updated, or reviewed by the eligible clinician, reason not given |
12 |
12 |
$0.00 |
| G8785 |
Blood pressure reading not documented, reason not given |
387 |
387 |
$0.00 |
| G8427 |
Eligible clinician attests to documenting in the medical record they obtained, updated, or reviewed the patient's current medications |
414 |
414 |
$0.00 |
| 4040F |
|
326 |
326 |
$0.00 |
| G8482 |
Influenza immunization administered or previously received |
91 |
91 |
$0.00 |